Mr. Jastin L Antisdel
Otolaryngologist (ENT Doctor)
1225 S Grand Blvd Garden Level
Saint Louis
, Missouri 63104-1016
Mr. Jastin L Antisdel
Otolaryngologist (ENT Doctor)
1225 S Grand Blvd Garden Level
Saint Louis
, Missouri 63104-1016
(314) 977-1820
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Mr. Jastin L Antisdel
- 1008 S Spring Ave Fl 3
- Saint Louis, MO
- Zip : 63110-2520
- Fax : (314) 977-1820
- Phone : (314) 977-8884
Second Address
- Mr. Jastin L Antisdel
- 1225 S Grand Blvd Garden Level
- Saint Louis, MO
- Zip : 63104-1016
- Fax : (314) 977-7686
- Phone : (314) 977-5110
Reviews
FAQs
Where did Mr. Jastin L Antisdel attend graduate school?
Where did Mr. Jastin L Antisdel do his residency?
Where did Mr. Jastin L Antisdel do his fellowship?
Is Mr. Jastin L Antisdel board certified?
What type of doctor is Mr. Jastin L Antisdel
In what state does Mr. Jastin L Antisdel practice in?
Where is Mr. Jastin L Antisdel ’s practice located?
What is Mr. Jastin L Antisdel ’s gender?
Is Mr. Jastin L Antisdel a sole practitioner?
Is Mr. Jastin L Antisdel accepting new patients?
What languages does Mr. Jastin L Antisdel speak?
Does Mr. Jastin L Antisdel accept insurance?
Does Mr. Jastin L Antisdel offers telemedicine?
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Does Mr. Jastin L Antisdel have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 062018 | GA |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 2005036993 | MO |
National Provider Identifier
| NPI | 1073714564 |
|---|---|
| Provider Name | Mr. Jastin L Antisdel |
| First Address | Saint Louis, MO 63110-2520 |
| Second Address | Saint Louis, MO 63104-1016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2007 |
| Last Update Date | 13/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.